GP Core funding is just £107.57/patient/year
@BMA_GP
@DAUK_GP has until now been using the average total figure £165 which includes premises payments, prescribing income & payments for QOF, which are not part of the core contract
Either way it’s not enough
digital.nhs.uk/data-and-infor…
There are huge variations in the income receive per practice with even the average £165 hiding differences in dispensing practices vs non-dispensing

So focusing on £107.57 core GP funding reflects more closely what practices get to employ the staff to provide care for patients

Richard Meddings - Chair of NHS England ‘Doctors are over-qualified’
Asked if it should be possible to train a doctor in less than 7 years
‘I would have thought so. Or you go to physician associates – so you change the skill levels’

NHS England Board has Post Office Board ‘vibe’ dailymail.co.uk/health/article…

NHS vs Private providers

With less than 15% of NHS work done by Private providers, the ‘easy’ stuff, they aren’t going to be the solution to backlogs

Govt/Labour have continued to listen to their leaders

There are solutions which require listening to those who understand Just 24,000 a month self pay compared to 1.4million using the NHS Hospitals

https://twitter.com/drstevetaylor/status/1777734356280467459

Whopping Whippet stories from the Tories and Victoria Atkins

A thread of mistruths Nurses 🤔

https://twitter.com/drstevetaylor/status/1782021584128975156

GP Partnerships - Time for a salaried service?
I keep hearing politicians say that GPs don’t want to be Partners & want to to be Salaried

Well that’s a self fulfilling prophecy since they are the ones deciding funding
Remove the funding for a business & who would want to do it So wants behind this assumption

Firstly there has been a fall in GP Partners & rise in Salaried GPs
The headcount numbers look overwhelming

GP Practices are closing, financially unviable, younger GPs leaving
some unemployed
Yet @NHSEngland @VictoriaAtkins @andrealeadsom are failing to fund GP Practices with a cut of 2% this year
20% £/patient real terms cut in funding since 2016
This is not News it needs repeating

https://twitter.com/skynews/status/1662011295250382848

Is General Practice FOR SALE?
Private firms ‘lobby’ Lords & MPs as Govt courts the private sector in the future of the NHS
Lords Farmer & Bethell, Centene, Virgin Care, Operose, HCRG, Twenty20
Operating a model of Primary Care aimed at profitability
bylinetimes.com/2021/10/25/lor… Panorama gathered evidence that PAs were not being properly supervised at the Operose practice. The PAs told the undercover reporter they saw all sorts of patients, sometimes without any clinical supervision. The practice treated them as equivalent to GPs

bbc.co.uk/news/health-61…

GP Partners to blame for missed Cancer Diagnosis

In the case below the poster was asking whether to complain.
I feel for all involved
The patient who was delayed
The PA who will be upset at missing this
The receptionist who was doing what they were told
The GP who was worried
🧵 The GP Partner is to blame here because ultimately they are held responsible
They make the decisions for how the practice is run.
Employed the PA, put the PA on the Doctors rota, allowed the PA to see undifferentiated patients. Told the receptionist how explain to patients
2/

GPs - Facts or fiction 🧵
They are not seeing patients F2F
Why are waiting rooms are empty
They are not working
AEs are full because GPs aren’t seeing patients
They shut their doors during the pandemic
They are all part-time
They are paid too much
They no longer care
1/9 GPs are not seeing patients Face to Face
1.4million people a day have an appt with GP practices which is up 200000 appts/day from 2019
More Face to Face, tele, e-consults, home visits, on the day
There are also less GPs - 2000 fewer than 2015 when the Govt promised 5000 more
2/9

Rishi Sunak has been keen to blame striking Doctors for increasing waiting times & cancelled operations, despite the fact he is reportedly personally blocking any pay resolution
But let’s look at the evidence
Fewer operations were cancelled in 2023 ccd 2022 with more admissions🧵 In addition to fewer operations being cancelled there have been an increase in completion of Referral to treatment pathways compared to previous years, so no decrease in performance of hospitals due to strikes
🧵/2

NHS England, Department of Health, Amanda Pritchard, Victoria Atkins all stating that they have hit the target for 5000 extra beds promised in January 23
Dishonesty at the highest levels
If hospitals are unable to function it’s not the staff to blame, it’s the failure of leaders The promise was made in January 2023 which was not a peak in bed numbers but indicative of Winter pressures at the time

The number of patients per GP in UK has increased 15% since 2016
GPs continue to be in short supply 8% fewer with a 7% increase in population
The good news for the people of UK is there is a website👇🏻to show you what’s happening locally

Speak to your MP
commonslibrary.parliament.uk/constituency-d…
North Yorkshire @RishiSunak

https://twitter.com/drstevetaylor/status/1738157928865992966

THE UK CAN’T AFFORD TO BE SICK

The cost of sickness in the economy is estimated at £150bn in lost activity, tax take, on going cost to NHS & care

Rise in long-term sick costing a lot more than that needed in investment in the NHS/Health

UK can’t afford NOT to invest in the NHS Research conducted est that the total economic cost of lost output among working-age people due to ill health is around £150bn/yr, equivalent to 7% of GDP, with an additional total cost to the Govt (lost tax income, benefits, costs to the NHS) of £70bn
oxera.com/wp-content/upl…

A THREAD FOR LABOUR

‘Labour’s plans would see GPs paid more for respecting the wishes of their patients, with funding redistributed to favour practices with a strong record on continuity of care and respecting patient preferences’

@wesstreeting @DrRosena @Keir_Starmer

https://twitter.com/wesstreeting/status/1696067846692913217

Continuity is key for good patient care and GPs agree

The problem is with the average GP caring for 2300 patients this is really challenging- imagine caring for 3000

Often this is in the more deprived areas so funding for continuity will favour less deprived areas & practices

THE UK IS DYING

The genuine tragedy in Ukraine & the desperation of people arriving on boats

Yet 3 times as many people have died prematurely in UK as have died in the Ukraine war

More people than have arrived on boats

Govt is failing to address this scandal

#NHSCrisis FT @jburnmurdoch

https://twitter.com/jburnmurdoch/status/1562004612172873728

GP ‘plan’ - phone lines but no REAL people

2000 Fewer GPs than 2015 when Jeremy Hunt promised 5000 more by 2020

GP Practices & Pharmacies are closing

Contracts that don’t pay enough

Being navigated to a struggling service will increase unhappiness for all Steve Barclay rightly says GP practices are providing 2 million more appts a month than 2019

Consulting with half the population of the UK a month

GPs have done this with below inflation funding for the past 5 years

GPs are leaving in increasing numbers

Contracts handed back

When part-time is really full-time

When GP hours are counted

Official figures for GP working hours are counted in sessions

A session is 4hrs 10 mins or half a day

9 sessions is 37.5hrs or full-time officially

But there is a problem

🧵1 A GP session or half day can actually exceed 6hours

For the majority it is between 5-6hrs

This means the hours counted are underestimated by 1-2 hours session

So GP hours are not officially accurate

2🧵

UK HAS A RETENTION CRISIS

35% of UK trained Drs are leaving

5000 UK trained nurses are leaving/year

In a global healthcare market for workers the UK is reliant on immigration for over half of #NHS Drs & Nurses

But with pay falling many are choosing better options

#NHSCrisis Doctors leaving the UK in increasing numbers

Australia, Canada, Saudi, Qatar, New Zealand making it easier for UK Doctors to work

Better pay and conditions

#NHSCrisis

I grew up in Bucks - it’s always been conservative - MP @SteveBakerHW

Chair of the Conservatives @GregHands was in the same year at school

I’m not a left wing activist

I’m a GP of 30yrs that sees the needs & cares

The Govt have got the #NHS so wrong

Time to listen #NHSCrisis

https://twitter.com/drstevetaylor/status/1639259033629540352?s=61&t=6JAmLYZo8b5AtXQJJ1JWxA

RISHI SUNAK’S - PAST MEDICAL HISTORY

Mother a Pharmacist had her own business

Father a GP a well funded GP practice

It should mean he knows the #NHS

But TODAYS pharmacists may be working in Boots, GPs struggling with workload & funding, & Rishi’s life would be different
🧵1 Things have changed a lot in the past 40yrs

Drs & pharmacists find themselves with large student debts, lower pay & a much more uncertain future

Income for GPs has reduced 30-40% in real terms

A pharmacist is likely to be in a large multiple pharmacy chain not an owner

🧵2

#NHS pressures - Not being noticed

Week ending 24/3/23 - 12,052 deaths above the 5yr average

- private homes (22.3%⬆️624 excess)
- hospitals (10.1%⬆️488 excess)
- care homes (5.9%⬆️134 excess)
- other settings (14.4%⬆️115 excess)

1361 excess deaths in a week
624 Covid related Details here

ons.gov.uk/peoplepopulati…